Fagan, Alvina

Fagan, Alvina is an sole proprietor health care provider with primary practice located at 701 Hewitt Ln Apt 4 , New Windsor NY 12553-5444. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Fagan, Alvina can be contacted via phone (845) 562-2077.

Contact Information

Primary practice address
701 Hewitt Ln Apt 4 New Windsor NY 12553-5444
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 128466-1 New York

Profile Details

NPI number 1316195183
LBN Legal business name Fagan, Alvina
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 4th, 2008
Last updated Sep 4th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316195183 NPPES
New York MEDICAID 008644846

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